IGNACIA CAVIEDES BONILLA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008928

License Status

NOT RENEWED

Business

First Name

IGNACIA

Last Name

CAVIEDES BONILLA

Business Name

IGNACIA CAVIEDES BONILLA

Original Issue Date

03/16/2022

Effective Date

03/16/2022

Expiration Date

03/01/2024

City

ELGIN

State

Zip

60123

Ever Disciplined

LastModifiedDate

02/05/2025